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Journal of Clinical Investigation

Other negative effects include insomnia, restlessness, anxiety, irritability, as well as: Flight of ideas, unstable temperament Decreased self-control, uninhibited behavior Increased unrestrained sexual activity Psychosis-like reactions Self-centered thoughts, paranoid ideas Pseudohallucinations (Magans sign), auditory hallucinations Depression, sadness Suicidal actions Physiological Effects The sympathetic nervous system activation from cocaine use can lead to hypertension, tachycardia, and palpitations

1 2 "Adolescent and young adult tobacco prevention and cessation: current status and future directions"